Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BERWICK HOSPITAL COMPANY LLC

NPI: 1316919699 · BERWICK, PA 18603 · General Acute Care Hospital · NPI assigned 02/02/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LALOR, PAULA controls 20+ related entities in our dataset. Read more

$479K
Total Medicaid Paid
19,504
Total Claims
18,570
Beneficiaries
61
Codes Billed
2019-12
First Month
2022-09
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date02/02/2006

Related Entities

Other providers sharing the same authorized official: LALOR, PAULA

ProviderCityStateTotal Paid
NORTHWEST HOSPITAL LLC TUCSON AZ $47.81M
ROSWELL HOSPITAL CORPORATION ROSWELL NM $41.27M
WESLEY HEALTH SYSTEM LLC HATTIESBURG MS $37.82M
METRO KNOXVILLE HMA LLC POWELL TN $28.70M
BULLHEAD CITY HOSPITAL CORPORATION BULLHEAD CITY AZ $28.54M
IOM HEALTH SYSTEM LP FORT WAYNE IN $27.50M
ST. JOSEPH HEALTH SYSTEM, LLC FORT WAYNE IN $25.43M
LAREDO TEXAS HOSPITAL COMPANY LP LAREDO TX $19.46M
OAK HILL HOSPITAL CORPORATION OAK HILL WV $18.77M
COCKE COUNTY HMA, LLC NEWPORT TN $18.34M
CLEVELAND TENNESSEE HOSPITAL COMPANY LLC CLEVELAND TN $16.31M
JEFFERSON COUNTY HMA LLC JEFFERSON CITY TN $14.31M
NORTHWEST ARKANSAS HOSPITALS, LLC SPRINGDALE AR $11.46M
PETERSBURG HOSPITAL COMPANY LLC PETERSBURG VA $11.20M
CAMPBELL COUNTY HMA, LLC LAFOLLETTE TN $10.07M
WARSAW HEALTH SYSTEM LLC WARSAW IN $9.95M
LONGVIEW MEDICAL CENTER LP LONGVIEW TX $9.29M
MOBERLY HOSPITAL COMPANY LLC MOBERLY MO $8.61M
CRESTVIEW HOSPITAL COMPANY, LLC CRESTVIEW FL $8.15M
KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC KIRKSVILLE MO $7.98M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $395.00
2020 2,588 $60K
2021 13,978 $315K
2022 2,926 $103K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 2,211 2,151 $132K
99284 Emergency department visit for the evaluation and management, high severity 1,296 1,249 $92K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 678 655 $24K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 290 284 $20K
74176 Computed tomography, abdomen and pelvis; without contrast material 210 203 $17K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 215 210 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 200 185 $16K
80053 Comprehensive metabolic panel 1,490 1,427 $15K
99282 Emergency department visit for the evaluation and management, low to moderate severity 385 380 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 422 405 $12K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,320 2,141 $12K
84443 Thyroid stimulating hormone (TSH) 478 475 $10K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 23 23 $10K
70450 Computed tomography, head or brain; without contrast material 167 161 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 349 325 $9K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 638 606 $7K
80061 Lipid panel 436 430 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 222 219 $6K
80048 Basic metabolic panel (calcium, ionized) 616 561 $4K
96361 Intravenous infusion, hydration; each additional hour 209 205 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 523 481 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 306 302 $4K
71046 Radiologic examination, chest; 2 views 244 239 $3K
96375 Therapeutic injection; each additional sequential IV push 162 157 $3K
84703 328 315 $3K
87086 Culture, bacterial; quantitative colony count, urine 375 355 $2K
84484 339 280 $2K
93970 27 27 $2K
77067 Screening mammography, bilateral, including computer-aided detection 25 25 $2K
81003 721 691 $2K
83036 Hemoglobin; glycosylated (A1C) 231 231 $1K
84439 186 186 $1K
83735 267 245 $1K
71045 Radiologic examination, chest; single view 203 192 $1K
83690 242 236 $1K
85610 327 319 $935.06
82150 156 153 $727.07
85730 140 134 $690.35
83880 30 27 $572.68
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13 13 $519.61
J7030 Infusion, normal saline solution , 1000 cc 217 200 $479.99
88305 Level IV - Surgical pathology, gross and microscopic examination 50 50 $439.43
36415 Collection of venous blood by venipuncture 340 295 $415.81
73630 40 40 $411.30
73610 24 24 $396.12
85027 57 56 $355.80
87077 74 73 $352.79
J1885 Injection, ketorolac tromethamine, per 15 mg 422 404 $327.38
80076 40 40 $315.24
73564 14 14 $288.08
85379 32 32 $256.53
84481 12 12 $246.97
87040 22 13 $147.00
87186 27 27 $141.13
81005 46 45 $134.27
87070 16 15 $92.85
J2405 Injection, ondansetron hydrochloride, per 1 mg 303 278 $63.56
85651 13 12 $40.50
J2704 Injection, propofol, 10 mg 15 12 $32.64
82962 28 13 $18.70
J3010 Injection, fentanyl citrate, 0.1 mg 12 12 $6.11